NPI | 1629524004 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON ANDRE PEARSON Owner 702-630-8321 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20161356053) |
Enumeration Date | 2016-08-26 |
Last Update Date | 2016-08-26 |