| NPI | 1689204166 |
|---|---|
| Doing Business As | TIMCARE |
| Entity Type | Organization |
| Authorized Contact | GENEVE RODRIGUEZ Administrator 702-617-6313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |