| NPI | 1366797490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL WRIGHT Manager 702-455-5226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 0815) |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2012-07-15 |