| NPI | 1275099798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEZIAH PLADNA Owner 702-237-4940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |