| NPI | 1861149080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BAXA Director Of Revenue Cycle 702-960-2272 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2024-10-08 |