| NPI | 1255992483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFRICA NICHOL RELEFORD Owner 702-768-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2023-08-02 |