| NPI | 1316472277 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | MIKO BAKER Owner 702-502-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171271300) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |