| NPI | 1649890344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERILL BANKS-MADDOX CEO 702-762-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251B00000X Case Management | |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |