NPI | 1093255762 |
---|---|
Entity Type | Organization |
Authorized Contact | NYANDA KERRIAN DOVE Manager 702-561-5015 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171130611) |
Enumeration Date | 2017-02-28 |
Last Update Date | 2017-02-28 |