| NPI | 1821537242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BROWN Business Manager 702-405-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2024-01-02 |