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 Clinic | |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2021-01-28 |
Last Update Date | 2022-01-24 |