NPI | 1366127789 |
---|---|
Entity Type | Organization |
Authorized Contact | YUSIMI LOPEZ RAMOS Owner 702-510-9587 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-06-21 |
Last Update Date | 2023-07-11 |