| NPI | 1356816318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIJAH Z MUHAMMAD Owner 702-845-9789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |