| NPI | 1164987871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA PRIMERO President 702-882-5561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |