| NPI | 1821597394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANAN PASION Director 702-423-4587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 26053703004987) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |