| 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 |