| NPI | 1326519976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAYA LEE Administration/Care Coordinator 702-675-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |