| 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 |