NPI | 1962900548 |
---|---|
Entity Type | Organization |
Authorized Contact | VLADIMIR DZUGAS Owner 702-695-1572 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171770226) |
Enumeration Date | 2018-01-29 |
Last Update Date | 2018-01-29 |