| NPI | 1326860958 |
|---|---|
| Doing Business As | NEVADA COMMUNITY ENRICHMENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JERRY KAPPELER Contract Specialist 702-259-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |