| NPI | 1114788288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG ORR COO 702-419-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-11-05 |