| NPI | 1053796946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINISHA MINGO Executive Director 702-373-7248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20151439330) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |