| NPI | 1811795933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS GONZALEZ Owner 702-624-8499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |