| NPI | 1851897961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANN SANDERS Owner 702-986-1676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20181244460) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |