| NPI | 1992353973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA CRUTO CEO 702-742-5972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2021-10-05 |