| NPI | 1740552264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOSHIA D SHAW CEO 702-816-3658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20121040148) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2014-03-12 |