| NPI | 1558821439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETURHA ANN REESE Owner 702-624-7105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-12-22 |