| NPI | 1356730436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE M BANKS Director 702-762-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV nv20101125397) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2020-04-24 |