NPI | 1417154188 |
---|---|
Entity Type | Organization |
Authorized Contact | PORFERIA D MONTESCLAROS Owner 702-253-1173 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 11575) |
Enumeration Date | 2007-06-27 |
Last Update Date | 2020-08-22 |