| NPI | 1679649487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ESTEVES Provider Relations Manager 702-220-9902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2025-08-28 |