| NPI | 1740728716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER FLORES Credentialing Specialist 702-474-6450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV N35-00004) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2024-04-01 |