| NPI | 1629678354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUITA MICHELLE BROOKS Chief Executive Officer 702-221-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2021-04-19 |