| NPI | 1407431430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMICA D BOYKIN CEO 702-276-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-03-11 |