| NPI | 1467901363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL HENDERSON Owner 702-823-3085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20131070050) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |