| NPI | 1568338689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOHNSTON President 702-826-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-21 |