| NPI | 1669038790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER MARIE FEDERIZO Director Of Adult Services 702-960-5712 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-06-11 |