| NPI | 1790351658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKEEM S OGAALDEZ CEO 702-610-9479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2023-06-15 |