| NPI | 1841183795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONYX REED Owner 702-606-4520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |