| NPI | 1891585071 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | HECTOR GEOVANI PEREZ MARTINEZ Manager 702-713-4501 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health | 
| Enumeration Date | 2025-05-09 | 
| Last Update Date | 2025-05-09 |