NPI | 1740061985 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIOUS HEATH Chief Intel Officer 702-900-8832 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-10-12 |
Last Update Date | 2024-01-24 |