| NPI | 1750750584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA WILLIAMS MS Owner 702-355-4376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV CP0176) |
| Additional Taxonomies | 251S00000X (Licence: NV 00318-LC) |
| 251S00000X (Licence: NV 00072-LCS) | |
| 251S00000X (Licence: NV 292672) | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2017-05-02 |