| NPI | 1124910179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA OTOO-ADJORLOLO Director 702-370-7842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |