| NPI | 1851263743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAILEN MATOS Owner 702-666-3894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-10-22 |