| NPI | 1932465507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN KAKIUCHI Managing Member 702-807-3082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NV 01184) |
| Enumeration Date | 2012-04-07 |
| Last Update Date | 2014-03-30 |