| NPI | 1821630328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE MAH COO 702-471-0420 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2022-03-31 |