| NPI | 1033758933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HARDY Owner 702-904-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2021-11-27 |