| NPI | 1275974958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIDRA ELYCE MARS Skills Rehabilitation Worker 775-287-4208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-08-19 |