| NPI | 1053840611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA HAMPTON Business Development Manager 702-207-4458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2025-04-30 |