NPI | 1093249484 |
---|---|
Entity Type | Organization |
Authorized Contact | MERCEDES KENISHA WARD Owner 602-639-3506 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171166360) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2017-04-12 |