| NPI | 1518383892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH IARUSSI Attorney 702-473-9640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV nv20141094855) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |