| NPI | 1356793517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ELAN FINKLEA Owner 702-610-5219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20161402784) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |