| NPI | 1780216184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HAWLEY Business Owner 702-463-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2022-04-15 |