| NPI | 1619393030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON C ROBERTS Executive Director 702-812-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20121145588) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |