| NPI | 1376254532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRANIECE SEYMOUR Co Owner 702-423-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2022-12-08 |