| NPI | 1871101097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARON MENDIOLA President 702-706-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2024-12-23 |