| NPI | 1073054110 |
|---|---|
| Doing Business As | WELL CARE MEDICAL AND BEHAVIORAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | FRANCES MALINIS Compliance Director 702-410-7825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |