| NPI | 1427715499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GRACE DEL ROSARIO Owner 702-355-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-11-24 |