| 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 | 261QM1300X Clinic/Center, Multi-Specialty |
| 251S00000X | |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-12-12 |