| NPI | 1821781824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YADIRA CABRERA MARTINEZ Administrator 702-910-9061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-26 |