NPI | 1326431099 |
---|---|
Entity Type | Organization |
Authorized Contact | WARREN WHEATLEY Clinical Director 7027-896-2230 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV CI0156) |
Enumeration Date | 2015-03-05 |
Last Update Date | 2015-03-05 |