| NPI | 1699015800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JAMES FAGA CEO 702-994-1821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20121570862) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |