| NPI | 1730434788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIE LEE HILL Owner 702-351-1072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20121430852) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |