| NPI | 1437510278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRECA ORMOND Founder 702-540-3738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV nv20151665818) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NV nv20151665818) |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2021-09-03 |