NPI | 1689947905 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON CLEVELAND Qmha 702-245-9883 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV nv20121072886) |
Enumeration Date | 2012-02-16 |
Last Update Date | 2012-02-16 |