| NPI | 1760852453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTAVIA WOMACK WILSON Director 702-339-7883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV201412822800) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |