| NPI | 1780026039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRINE THOMAS Clinical Director 702-328-4612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20111232066) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |