| NPI | 1750654430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA DAWKINS Owner 702-743-5908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20111510784) |
| Enumeration Date | 2012-02-11 |
| Last Update Date | 2012-02-11 |