| NPI | 1356743017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONCEPCION REYES MANGASEP Medical Doctor 702-818-6032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: CA A66574) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |