| NPI | 1467956888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELLA EARLE Owner 702-409-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV nv20171317947) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |