NPI | 1417431529 |
---|---|
Entity Type | Organization |
Authorized Contact | TONEY WENDELL STEPHENSON President 702-204-0150 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 251B00000X Case Management |
251E00000X Home Health | |
Enumeration Date | 2018-09-25 |
Last Update Date | 2018-09-25 |