NPI | 1417642091 |
---|---|
Entity Type | Organization |
Authorized Contact | DESHAWN Y BRYANT Owner 702-557-0050 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-04-10 |
Last Update Date | 2024-01-29 |