| NPI | 1740748144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN PETRINCA HIRCIAG Administrator 702-901-9281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |