| NPI | 1750568754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BENASSI Director 702-382-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: NV 10116) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |