| NPI | 1245974963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIRSANDRA SCOTT Managing Member 702-972-3359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |