| NPI | 1013279959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J LYON Director 702-735-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV C20120612-2476) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-09-06 |