| NPI | 1821299462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY CASTILLO Regional Manager 702-480-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 14478) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2023-09-02 |