| NPI | 1912426909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIAIJAH S FELTUS-WIMBERLY Owner 702-738-9589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171578899) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-07-21 |