| NPI | 1912292996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MAJ Regional Director 702-733-8098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2014-10-30 |