| NPI | 1366930067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON RANDY RUTHERFORD Owner 702-326-3372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |