| NPI | 1811436959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY CASINO Owner/Member 702-412-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171108675) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2020-01-09 |