| NPI | 1912328162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LES JACOBS CFO 702-648-3425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 2251G0304X Physical Therapist, Geriatrics | |
| 225X00000X Occupational Therapist | |
| 225XG0600X Occupational Therapist, Gerontology | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |