| NPI | 1649961681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NENETH M SUAREZ CEO 702-764-4868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-05-19 |