| NPI | 1023606274 |
|---|---|
| Doing Business As | LIBERTY OF NEVADA LLC |
| Entity Type | Organization |
| Authorized Contact | ELISHEBA MOORE Managing Partner 702-265-7758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-04 |