NPI | 1073898094 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWNNYCE DAWSON Owner 702-812-3326 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV2010673467) |
Enumeration Date | 2011-10-21 |
Last Update Date | 2011-10-21 |