| NPI | 1649787151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAN ARTIS Owner 702-883-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20161741783) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |