| NPI | 1205588233 |
|---|---|
| Doing Business As | IMPOSSIBLE BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | TERRELL DRAKE Treasurer 702-622-2679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |