| NPI | 1720372808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY A NEW Vice President Medical Clinics 702-455-5639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NV nv1172) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2021-08-11 |