| NPI | 1003109802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITO SAHAGUN President 702-610-4153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |