| NPI | 1629589320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRISON G DIEP Business Owner 702-513-4247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: NV 2003398.062-122) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2018-03-17 |