| NPI | 1013013283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY MOORE Office Manager 702-396-9924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NV 3336) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-06-04 |