| NPI | 1780177626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE CHAVEZ President 702-379-8926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NV NV20181391287) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |