NPI | 1225495096 |
---|---|
Entity Type | Organization |
Authorized Contact | DE'ANGELO LOMAR CANDLER Owner 702-550-8649 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20141429518) |
Enumeration Date | 2016-01-25 |
Last Update Date | 2016-01-25 |