| NPI | 1023308293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA LANDERO Executive Administrator 702-598-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 00922) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |