| NPI | 1912689506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE CARDENAS Owner 702-426-0637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2025-09-15 |