| NPI | 1730886698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAQUELINE SALGADO Office Manager 702-727-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 103T00000X Psychologist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2024-01-18 |