| NPI | 1568806727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WRANGELL MELENDRES Chief Administrative Officer 702-862-0676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2015-04-27 |