| NPI | 1992321632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONDRE AVERY CEO 702-538-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |