| NPI | 1578604468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT COWAN Regional Director 702-733-8098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-02-12 |