| NPI | 1558055988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO CORDERO SEGURA Administrator 702-755-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-07 |