| NPI | 1124649777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIRSANDRA SCOTT Owner 702-773-2872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2022-04-08 |