NPI | 1588062772 |
---|---|
Entity Type | Organization |
Authorized Contact | VENESA L HINES Manager 702-858-3160 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20141775229) |
Enumeration Date | 2014-12-20 |
Last Update Date | 2014-12-20 |