| NPI | 1679901136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KULINDA ROLLINS Owner / Program Director 702-277-8289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2021-11-10 |