| NPI | 1104315837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETTE MARTINEZ CEO 702-738-6230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20181307191) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2024-08-13 |