| NPI | 1790507028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS TELLIS Community Health Worker Ii 702-890-2531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 374J00000X Doula |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-12-03 |