| NPI | 1700371002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNA GAUFF Owner 702-721-8508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV NV20181464682) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2024-02-22 |