| NPI | 1457984486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRIN KALETA Owner 702-255-7800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |