| NPI | 1407213804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO MAGRIDCHIAN Vice President 702-385-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 8200CTC-0) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2021-02-24 |