| NPI | 1447612718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINISHA GRAY-MINGO CEO/Director 702-556-2634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20161175420) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2023-09-21 |