| NPI | 1457920068 |
|---|---|
| Other Name | COMMUNITY OUTREACH MEDICAL CENTER-CCBHC |
| Entity Type | Organization |
| Authorized Contact | KEMA OGDEN Executive Director 702-657-3873 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2021-06-21 |