| NPI | 1902230089 |
|---|---|
| Doing Business As | ACADEMICS AND ATHLETICS CONNECTION BEHAVIORAL HEALTH PROGRAM |
| Entity Type | Organization |
| Authorized Contact | THOMAS MCTYER Director 702-834-0794 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |