| NPI | 1104638162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY MILLER CEO 702-659-6707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-02-04 |