| NPI | 1578132445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO JONES Owner 702-236-4625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-05-07 |