| NPI | 1457633505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI JACKSON Owner/CEO 702-561-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV m18-05251-d-153900) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |