NPI | 1528740099 |
---|---|
Entity Type | Organization |
Authorized Contact | RASHEDA L ANDERSON CEO 702-417-1366 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
133NN1002X Nutritionist Nutrition, Education | |
133V00000X Dietitian, Registered | |
363A00000X Physician Assistant | |
363LP2300X Nurse Practitioner Primary Care | |
Enumeration Date | 2023-08-03 |
Last Update Date | 2023-08-03 |