NPI | 1629595889 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE FLORES CEO 702-644-4673 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-08-28 |
Last Update Date | 2023-05-12 |