| NPI | 1851772271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEVONNE FUNCHES Director 702-754-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center Ambulatory Family Planning Facility |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |