| NPI | 1780192278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYELE ELAVAGNON AMAVIGAN Managing Director 702-806-9143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 5116-S) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2024-06-14 |