| NPI | 1609384783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BUNTON-DODSON Owner 702-666-1917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171818625) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |