| NPI | 1538924097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORLIVE BRIONES Manager 702-569-3604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-04-02 |