| NPI | 1376205666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ELIZABETH PUENTES CEO 702-742-5972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2022-04-06 |