| NPI | 1124401344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL M. ANDERSON Director 702-538-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2019-12-02 |