NPI | 1689267676 |
---|---|
Entity Type | Organization |
Authorized Contact | MALISA PAULFREY Director Of Billing 702-978-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2021-02-19 |
Last Update Date | 2021-02-19 |