| NPI | 1609685650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILEY CEO 702-305-0652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health |
| Enumeration Date | 2025-01-04 |
| Last Update Date | 2025-01-04 |