| NPI | 1649309816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY CASTILLO Regional Manager 702-480-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: AZ 1601) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-09-02 |