| NPI | 1073721361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEMA OGDEN Executive Director 702-657-3873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NV 8907) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-03-29 |