| NPI | 1295136489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY BIENIEMY Owner 702-540-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 20091454427) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |