| NPI | 1760801427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN LAVERNE BELL Owner 702-232-8207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV E0094762014-2) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |