NPI | 1548648439 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW O OKEKE Medical Director 702-202-0099 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 20150212668-83) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2015-05-11 |