| NPI | 1134556632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN RAMONE VALENTINE Executive Director 702-943-0241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV e02937920135) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-10-01 |