| NPI | 1205231123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA VERCHICK Manager 702-300-5068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NV NV20141568634) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |