| NPI | 1871926071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDEEN ALLRED SPENCER Registered Agent 702-601-6072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 5486-C) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |