| NPI | 1629327374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WATERS Director 702-497-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20111757251) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |