| NPI | 1083087266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED SHOEMAKER COO 702-319-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV C20110128-1214) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2021-11-09 |