| NPI | 1881295848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN T GREENE Owner/Managing Member 702-930-5958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |