| NPI | 1164776027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA MARCUS Director Of Quality Assurance 702-275-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-11-03 |