| NPI | 1255779856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR DAVIS Behavioral Skills Trainer/Psr 702-596-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-07-19 |