| NPI | 1417267469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAVI MANDELL Owner 702-685-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 5276-C) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |