| NPI | 1538724216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE BENLIRO Medical Director 702-480-8723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-08-27 |