| NPI | 1396257390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ROMMEL VIRAY Owner 702-871-9917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |