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 |