| 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 |