| NPI | 1619440286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA PARSONS Owner 702-741-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-14 |