| NPI | 1023638418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUAISHA DANTRICE HYDER CEO 702-690-0785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2020-12-04 |