| NPI | 1639804586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA LUCIA LOZANO MORALES Owner 702-689-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-07-22 |