| NPI | 1053967265 |
|---|---|
| Doing Business As | PROHEALTH THERAPEUTIC & EMPOWERMENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | KEISHA GRAHAM Managing Director 702-490-9009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |