| NPI | 1053806745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE D BELOTE-BINFORD Owner 702-764-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20181357901) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-10-15 |