NPI | 1790293090 |
---|---|
Entity Type | Organization |
Authorized Contact | ARNOLD N MARSHALL Owner 702-772-5316 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2018-01-21 |
Last Update Date | 2021-08-17 |