| NPI | 1053844712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINNETTA R COOLEY Manager/Member 702-831-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NV 7384-C) |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2017-04-09 |