| NPI | 1922593797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE DAVIS Owner 702-848-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20181454330) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2020-07-15 |