NPI | 1144803677 |
---|---|
Former Legal Business Name | RADIANT HOPE SERVICES |
Entity Type | Organization |
Authorized Contact | EDWARD GAMBOA President 702-488-4198 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2021-05-03 |
Last Update Date | 2021-05-03 |