| NPI | 1073966206 |
|---|---|
| Doing Business As | RISING STARS BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MIKE WALLER President 702-462-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2016-07-23 |
| Last Update Date | 2016-07-23 |