| NPI | 1174168546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY WALKER CEO 702-690-8378 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |