NPI | 1881340016 |
---|---|
Doing Business As | ILIAD & ODYSSEY BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | HOMER CABRERA TUAZON CEO 702-417-3865 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2022-02-25 |
Last Update Date | 2024-03-01 |