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 |