| NPI | 1871141887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED ELLSWORTH COO 702-507-0985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225500000X Specialist/Technologist |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis |
| 246Y00000X Spec/Tech, Health Info | |
| 246YR1600X Spec/Tech, Health Info, Registered Record Administrator | |
| 247000000X Technician, Health Information | |
| 247200000X Technician, Other | |
| 374700000X Technician | |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |