| NPI | 1295190197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEVONNE FUNCHES Director 702-754-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X | |
| 251E00000X Home Health | |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |