| NPI | 1093164881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVAN ALEXANDER JACKSON CEO 702-417-1187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV NV20611312886) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NV NV20611312886) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |