NPI | 1952913790 |
---|---|
Entity Type | Organization |
Authorized Contact | CARMEN LAZO Member 702-727-9065 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2020-08-22 |
Last Update Date | 2020-08-22 |