| NPI | 1083946875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY TIPPETTS President 702-375-1488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |