| NPI | 1922832732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELINE IWEANYA Program Director 702-583-0241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-28 |