| NPI | 1750779286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN W PEREZ Director 702-747-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 1811313794) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |