| NPI | 1023433760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY MAHSIN LEWIS Manger/Owner 702-752-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV nv20141110713) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |