| NPI | 1760764989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN LUJAN President 702-287-0948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV c201010081609) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |