| NPI | 1194196881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY SCOTT Owner 702-747-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20151522250) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |