NPI | 1184055618 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRY DAVIS OLIVER Owner Operator 702-782-9958 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 1015184898-001) |
Enumeration Date | 2013-12-10 |
Last Update Date | 2013-12-10 |