| NPI | 1750628889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYE LEHUA KELLY Owner 702-672-2365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20131015355) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |