| NPI | 1558801910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFORTRA TURNER Owner 702-412-5175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171114042) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |