| NPI | 1295157287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SUMMERS Executive Director 702-818-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20141004089) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-14 |