| NPI | 1871474536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS RUBEN CISNEROS Owner 702-482-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |