| NPI | 1750754107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY GROSSA CFO 702-338-8373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20141631437) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |