| NPI | 1477927259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE GARCIA Administrator 702-816-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-25 |