| NPI | 1215471230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY KIRBY President 702-586-2588 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20151493965) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2017-12-20 |