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 |