| NPI | 1508484726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN LAZO CEO 702-727-9065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 208D00000X General Practice |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |