| NPI | 1902240443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN TINNEY Owner/Direct Supervisor 702-994-1949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV nv20131182170) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |