| 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 |