| NPI | 1720853005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUADALUPE AVILA Office Manager 702-324-0315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-12-12 |