| NPI | 1396625885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDIL DIAZ CATA Owner 702-591-3243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |