| NPI | 1063651453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME NWANNA NWOKIKE President 702-380-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NV 12549) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NV 12549) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |