| NPI | 1215202924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY ANN JACKSON Counselor Director 702-877-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NV L791) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |