| NPI | 1740671502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KUNICKI Owner 702-561-3708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 20151096118) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2020-11-03 |