| NPI | 1629637392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDAL ARLILLIAN KELLY Clinical Director 702-255-0056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |