| NPI | 1649952144 |
|---|---|
| Doing Business As | MGHA |
| Entity Type | Organization |
| Authorized Contact | ARIC MELTON Cco 702-403-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |