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 |