| NPI | 1750908828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARY PRENDERGAST Office Manager 702-895-1564 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |