| NPI | 1013448489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GENOVESE Executive Medical Director 702-919-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NV 16973) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |