NPI | 1750634432 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIK GREEN Owner 702-812-1405 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV C20121018-1968) |
Enumeration Date | 2012-10-18 |
Last Update Date | 2012-10-18 |