| NPI | 1023590544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA J REECE-THOMPSON President 702-772-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171534971) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2019-03-01 |