NPI | 1598640872 |
---|---|
Entity Type | Organization |
Authorized Contact | KEYERA PORCHE Owner 702-202-2998 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2025-08-07 |
Last Update Date | 2025-08-09 |