NPI | 1013691427 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE FLORES CEO 702-644-4673 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-06-14 |
Last Update Date | 2023-06-14 |