| NPI | 1396054169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA QUINN CEO 702-731-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2024-09-03 |