| NPI | 1194175745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADESUWA OSAZUWA CEO 702-236-7529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 103K00000X) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |