| NPI | 1083982136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNIE ANNE LANCZ Program Manager 702-556-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251B00000X Case Management (Licence: NV 92453) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2024-07-02 |