| NPI | 1124535539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FLOWERS Operation Manger 702-800-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-03-16 |