| NPI | 1306637517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SCOTT COO 702-580-7197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103T00000X Psychologist | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-06-04 |