| NPI | 1841507449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DONNELL BRIDGES Clinical Director 702-476-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 251s00000x) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2010-09-03 |