| NPI | 1881142404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA GOODLEY President 702-852-2455 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20161046908) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2017-12-20 |