| NPI | 1316322738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L BLACK Owner Operator 702-478-2524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: NV OTHER) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |