| NPI | 1437518669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE MARIE RANGEL Manager/Owner 702-271-3942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 7121-C) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2024-11-25 |