| NPI | 1336821859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIC MELTON Cco 702-403-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |