| NPI | 1518780725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA JEAN CORTEZ Owner 702-372-0346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |