| NPI | 1164819157 |
|---|---|
| Doing Business As | MARATHON |
| Entity Type | Organization |
| Authorized Contact | TABITHA M. JOHNSON Manager 702-279-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 01214) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |