| NPI | 1619597846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ZACK President/CEO 702-870-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |