| NPI | 1043763196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES S SHOSHANI Owner 702-604-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV nv20161402491) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |