| NPI | 1255784625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY MILLER Owner 702-968-9372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 172V00000X) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |