| NPI | 1376058461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE PARROTT CEO 702-353-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171790249) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |