| NPI | 1962893537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN QUILIT Human Resourses 702-248-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PC007577) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |