| NPI | 1558103572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN MIGUEL FREIJE CASTILLO Managing Member 702-205-1872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |