| NPI | 1588389944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NENETH SUAREZ President 702-764-4868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-11-11 |