| NPI | 1700203239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANDREA STANSBERRY President 702-204-8332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20131681054) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |