| NPI | 1720396385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE HARRIS Owner 1877-865-7481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20101124834) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |