| NPI | 1720424534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ELLEN SEBER Owner 702-518-1357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20131282970) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2014-06-06 |