| NPI | 1902267883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH TODD PEHRSON Clinical Director 702-823-9042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV nv20161139243) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-08-19 |