| NPI | 1932605532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARETUS CORTEZ SMITH CEO 702-595-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |