| NPI | 1598202913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE MAH COO 702-808-5739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NV NV20141295381) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2022-03-25 |