| NPI | 1528525391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY A NEW Vice President Of Medical Clinics 702-455-5639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2021-08-11 |