| NPI | 1750886289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE BINGHAM President 702-626-7637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |