| NPI | 1801507462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO G MACHUCA Owner 702-533-3465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2023-10-04 |