| NPI | 1700294048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMEE CHACON Primary Therapist 702-279-8678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20131123149) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2017-01-09 |