| NPI | 1811504376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOSDELY CABRERA TORREGROSA Director 702-695-3163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-11-23 |