NPI | 1982000824 |
---|---|
Entity Type | Organization |
Authorized Contact | DEVIN BROOKS CEO 702-570-5200 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
207SG0201X Medical Genetics, Clinical Genetics (M.D.) | |
261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2014-11-04 |
Last Update Date | 2018-05-31 |