NPI | 1003667452 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA ANDERSON CEO 702-728-0528 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 103K00000X Behavior Analyst |
261QM0801X | |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-04-01 |