| NPI | 1225685134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZI UGWU CEO 702-843-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2020-05-11 |