| NPI | 1306094578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA V OTOO-DAVIS CEO 702-453-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 2531-C) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2011-02-01 |