| NPI | 1871926220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVON BEARD Director 702-401-5495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20051737104) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |