| NPI | 1184053977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA GONZALEZ General Manager 702-675-6088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV IC-812) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |