| NPI | 1174700736 |
|---|---|
| Doing Business As | PROVIDENCE BEHAVIORAL HEALTH SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | MARILYN LAMASCUS Executive Director 702-629-6351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 3074-C) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-06-25 |