| NPI | 1750082731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE GREGORIO Managing Member 702-587-9455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-15 |