| NPI | 1497292197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONEY JEVON BANKS Chief Executive Officer/Member 702-845-1862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |