| NPI | 1558602250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA DEDEAUX President 702-272-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NV 20081080217) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |