| NPI | 1366620601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALEN ROBERT BENNETT Administrator, CEO 702-586-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |