| NPI | 1629594312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY WATSON Co C.E.O. 702-826-8109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171475544) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2018-02-15 |