| NPI | 1184101347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN RAMIRO VASQUEZ Consultant 702-800-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171790249) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |