| NPI | 1679063556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE AKIOYAME Owner 702-581-7435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2020-04-09 |