| NPI | 1104315761 |
|---|---|
| Doing Business As | EXTENDED LIFE LLC |
| Doing Business As | EXTENDED LIFE BEHAVIORAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | ASHLEE BROWN Manager 702-351-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-06-16 |