| NPI | 1417349127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND LAVENDER Director Of Client Services 702-464-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV nv20151113773) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2016-08-18 |