NPI | 1306581756 |
---|---|
Entity Type | Organization |
Authorized Contact | EARL GOSS Managing Member 702-209-5316 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-04-30 |
Last Update Date | 2022-04-30 |