| NPI | 1952643413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARETES GODINEZ Managing Partner 702-542-5610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2020-07-20 |