| NPI | 1790102739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMARIO JACKSON CEO/Owner 702-204-1781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 104357) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |