| NPI | 1609576743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSMEL VILLARREAL President Director Of Operations 702-902-0304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-04-09 |