| NPI | 1922136498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDY ANISE PARKS Executive Director 702-289-0157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: NV GF-125401040-0001) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-06-20 |