| NPI | 1770260887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC MUTABAZI CEO 702-849-2173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-29 |