| NPI | 1811535859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN MOLDOVAN CFO 702-471-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2023-02-16 |