| NPI | 1083191738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GARCIA Managing Provider 702-430-7987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20181514587) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2019-10-31 |