| NPI | 1700213469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS MANNING Chief Executive Officer 702-489-4348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20111144382) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |