| NPI | 1942057989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LUNA Owner 702-267-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |