| NPI | 1134593866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARMEUL AARON PEARSON Owner 702-340-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20141467003) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |