| NPI | 1356696553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES CROVETTI Managing Member 702-990-2290 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282E00000X (Licence: NV NV20111055516) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |