| NPI | 1396120291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGERTON HARTWELL President 702-301-4432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 251T00000X PACE Provider Organization |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |