| NPI | 1598045064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELYN R JAVIER Owner 702-454-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 1000234-706) |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2011-08-27 |