| NPI | 1982096020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE D WILLIAMS Owner 702-330-6693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV E0251852014-4) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |