| NPI | 1316472897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE BRICE Manager 702-478-8502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171261077) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |