| NPI | 1053817221 |
|---|---|
| Doing Business As | M.A.D.I.C. |
| Entity Type | Organization |
| Authorized Contact | CARMEA A BASS Executive Director 702-533-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2020-12-13 |