NPI | 1053792879 |
---|---|
Entity Type | Organization |
Authorized Contact | STACEY SUZANNE PAYNE Founder/Owner 702-834-4307 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 20140769237-41) |
Enumeration Date | 2015-06-17 |
Last Update Date | 2015-06-17 |