| NPI | 1649569823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICHOLS Psychosocial Rehabilitative Worker 702-498-8292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV 4100524967) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |