| NPI | 1669136628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYANA SANTANDER MORALES Manager 702-498-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |