NPI | 1528200631 |
---|---|
Entity Type | Organization |
Authorized Contact | TONI DENISE HODGES Co Owner 702-308-2288 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV PY0572) |
Enumeration Date | 2009-04-03 |
Last Update Date | 2009-04-03 |