| NPI | 1114617271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MARTINEZ Care COO Rdinator/Case Manager 702-350-0537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 347C00000X Private Vehicle | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |