| NPI | 1922534809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA BARNES CEO/Owner 702-619-0157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171299064) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |