| NPI | 1972431146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE J KORIR A RN P 702-812-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-05-09 |
| Last Update Date | 2026-05-09 |