| NPI | 1215430731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA PATTERSON BAGGETT Owner 702-462-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2018-03-11 |
| Last Update Date | 2018-03-11 |