| NPI | 1851782999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FESTUS EBONKA Owner/President 702-515-9680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NV NV20131553514) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: NV NV20131553514) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |