| NPI | 1922264209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEARBY R MAILLARO Managing Member 702-463-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NV 2000154-426) |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2011-08-26 |