| NPI | 1518513142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRELL DRAKE COO/Director Of Operations 702-622-2679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2021-12-02 |