| NPI | 1386922136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLACE E. HARRIS CEO/Psychosocial Rehabilitative Spe 702-981-0391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV NV20101771798) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |