| NPI | 1447798574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLA ANN RUSH Clinical Director/Partner 775-348-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV NV20151739907) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |