NPI | 1164717484 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE JACKSON CEO 702-321-6222 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 20111426158) |
Enumeration Date | 2011-06-15 |
Last Update Date | 2015-05-26 |