| NPI | 1790670420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN DE LA HOZ Owner 702-619-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |