| NPI | 1477225019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON TRACY EVANS-BUTLER Owner/Operator 702-683-0045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2021-10-01 |