| NPI | 1093217200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN JONES Owner 702-334-8852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20181154008) |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2018-03-03 |