| NPI | 1023730421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YISSEL DEL RIO Managing Member 702-769-5913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2024-03-11 |