| NPI | 1205375417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DARNELL GORDON Director 702-324-0837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: NV NV20171108815) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |