| NPI | 1306263967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAILEY C MATTISON CEO 702-578-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 16140110) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |