| NPI | 1871879619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD CRAIG MOORE Executive Director 702-380-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 5516ADA-3) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-31 |