| NPI | 1487020285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESHAWUN RASHAAD PORTER CEO 702-622-6516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20151486602) |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2015-08-15 |