| NPI | 1689426553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ANTONIO DIAGO Managing Member 702-350-8216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |