| NPI | 1356056063 |
|---|---|
| Former Legal Business Name | OPTIMAL BEHAVIORAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | TARIK AYINDE SANFORD BRAGG Owner 702-461-2780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-01-17 |