| NPI | 1144620360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TAYLOR Clinical Coordinator 702-754-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |