| NPI | 1386974624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINCY SANDERS Executive Director 702-505-3635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 251B00000X Case Management | |
| Enumeration Date | 2010-01-09 |
| Last Update Date | 2015-10-07 |