| NPI | 1316468069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENTHIA CLAYTON CEO 702-504-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171419211) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-07-21 |