| NPI | 1154871044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI STUMPF Director 702-469-4892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NV NV20131214781) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |