| NPI | 1255668422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL REID Director 702-985-3216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV 6407-C) |
| Additional Taxonomies | 251S00000X (Licence: NV 5419-C) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2016-06-29 |