| NPI | 1104261825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNIE LANCZ Program Manager 702-595-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-12-17 |