| NPI | 1780363044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HANNIBLE Chief Executive Officer 702-305-0652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |