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 |