| NPI | 1700024106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY PATRICE GAFFORD Executive Director 702-326-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |