| NPI | 1235427295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CUTHBERTSON Director 702-636-5373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV B2001833C014946) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |