| NPI | 1144477498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALEN ROBERT BENNETT CEO / Administrator 702-586-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NV 2000115.426) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |