| NPI | 1396270401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA CHRISTIAN Member 702-981-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171213368) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |