| NPI | 1053731851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JER ROBERSON-STRANGE Managing Member 702-883-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV E0205822014-5) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-04-18 |