NPI | 1902218316 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL COOPER Manager 702-979-0725 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20141334354) |
Enumeration Date | 2014-05-20 |
Last Update Date | 2014-05-20 |