| NPI | 1639537269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA FRAZIER Owner Director 702-232-9533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20081588006) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |