| NPI | 1619748639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JSHAUNTAE MARSHALL Executive Director 702-337-4793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251S00000X |
| 261Q00000X Clinic/Center | |
| 261QB0400X Clinic/Center, Birthing | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |