| NPI | 1891273454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNESHIA CARTER Owner 702-980-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2018-08-04 |