| NPI | 1033509278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND LEE LAVENDER Director Of Client Services 702-209-7049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |