| NPI | 1235388257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL SUETOS Managing Member 702-726-0761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251E00000X Home Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2023-11-28 |