| NPI | 1801176839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY CLARKE Owner Administrator Director 702-985-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |