| NPI | 1356054019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THI HOANG Business Office Representative 702-205-8232 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2022-12-27 |