| NPI | 1356736342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO CERVERA Counselor 702-808-4285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 00527-P) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |