| NPI | 1568958106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS M GUERRERO Owner 702-581-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |