| NPI | 1508409285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHANA JONES Director 702-677-4724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |