STATE OF NEVADA

NPI # 

Practice Address:

61 N Willow St , Suite 4

Mesquite, NV, 89027-4786

Practice Phone:

702-346-4696

Practice Fax:

702-346-4699

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Mental Health (Including Community Mental Health Center)

Taxonomy Code:

261QM0801X