| NPI | 1932927662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNA DEAN Owner 702-937-7789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QR1300X Clinic/Center, Rural Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |