| NPI | 1285207662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ALFRED MEZA CEO 702-913-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2024-07-16 |