| NPI | 1962706796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY M CONNER Owner / Manager 702-943-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV E0567972010-5) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |