| NPI | 1366730434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ALAN TEDOFF Manager 702-496-1367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NV LBAT032811) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2026-07-28 |