| NPI | 1063777969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA MCCALL Chief Operating Officer 702-715-1182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20121340072) |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2012-07-07 |