| NPI | 1245609130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DAKURAS Owner 702-460-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20151546764) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |