| NPI | 1467703686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LYN ROMERO Owner 702-727-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 2001636-320) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |