| NPI | 1942026430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ESCUTARY Owner 702-906-6185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-11-29 |
| Last Update Date | 2024-11-29 |