| NPI | 1770393795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATIUS PEREZ JIMENEZ Owner 702-904-5394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |