| NPI | 1528427614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELIA R GONZALEZ Credentialing/Billing 702-258-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: NV 2014159531) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |