| NPI | 1407292428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ANN LILES Executive Director 702-527-9775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV nv20131287617) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |