| NPI | 1184053621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON STERLING MATTISON CEO 702-578-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20131618755) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |