| NPI | 1356907711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED A KAMARA Manager 702-523-9373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2019-05-11 |
| Last Update Date | 2019-10-01 |