| NPI | 1649873571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HARDY Administrator 702-904-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2021-04-13 |