| NPI | 1144681123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE POWELL Director 702-768-8762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV CP0140) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2017-01-15 |