| NPI | 1679087027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFERANN FRAZIER Owner 702-587-2309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171725686) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2018-08-14 |