| NPI | 1942587548 |
|---|---|
| Doing Business As | TEEN FUZION |
| Entity Type | Organization |
| Authorized Contact | EILA R GREGORY Community Health Representative 702-633-9196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251B00000X Case Management | |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |