| NPI | 1396135612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ESTRELLA WOLFE Owner 702-578-8623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20151024554) |
| Enumeration Date | 2015-01-24 |
| Last Update Date | 2015-03-20 |