| NPI | 1144638180 |
|---|---|
| Other Name | CIC LV |
| Entity Type | Organization |
| Authorized Contact | ERIN KINARD Area Director 702-385-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-24 |