| NPI | 1285958900 |
|---|---|
| Doing Business As | MENTESANA |
| Entity Type | Organization |
| Authorized Contact | MARY JANET ROEHRIG Psychology Resident 702-451-7542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NV PYO334) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NV PYO334) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-12-22 |