| NPI | 1972387256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L CRUEY President 702-419-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-12-05 |