| NPI | 1386982932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY MARIE GROSSA CFO 702-338-8373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV E0435602012-5) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |