| NPI | 1033669627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY GALLAS President 702-824-9639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV PY0790) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2024-10-04 |