| NPI | 1992411771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE M SHIELDS CEO 702-328-6286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |