| NPI | 1225383946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER THOMAS Independent Contract Worker 702-439-3367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |