| NPI | 1760950927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN TERESE GREENE Executive Director 702-241-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2019-06-11 |