| NPI | 1497061113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M. NICHOLS Owner 702-341-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 0438) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |