NPI | 1649044983 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA HALL Owner 702-904-4097 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-11-07 |
Last Update Date | 2023-11-07 |