| NPI | 1942924022 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHAMESE WILLIAMS Owner 702-527-0660 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Additional Taxonomies | 251B00000X Case Management | 
| Enumeration Date | 2022-10-03 | 
| Last Update Date | 2025-01-03 |