NPI | 1649537333 |
---|---|
Entity Type | Organization |
Authorized Contact | WASCAR CRUZ Owner 702-772-8892 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
261QM0801X | |
Enumeration Date | 2012-04-18 |
Last Update Date | 2013-10-16 |