NPI | 1629367065 |
---|---|
Entity Type | Organization |
Authorized Contact | LORRETTO E OWEN Staff 702-838-3889 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV H1400104H113186) |
Enumeration Date | 2011-04-06 |
Last Update Date | 2011-04-06 |