| NPI | 1952176943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA TORRES Owner 702-480-4762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-06-04 |