| NPI | 1386316305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER SUAREZ Director 702-328-4634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2026-06-15 |