NPI | 1992201354 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW PARRA Owner/Sole Proprietor 775-220-9819 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 14433) |
Enumeration Date | 2018-04-04 |
Last Update Date | 2019-10-21 |