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 |