| NPI | 1932836129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DEL ROSARIO Managing Member 702-686-9822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-08-07 |
| Last Update Date | 2022-08-07 |