| NPI | 1245737725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DAVIS Owner/CFO 702-245-1293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20181229796) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |