| NPI | 1306437710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT VALERA Manager 702-848-5644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 207RA0401X Internal Medicine Addiction Medicine | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QM2800X Clinic/Center Methadone | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2022-01-24 |