EXHIBIT 3.38

                            CERTIFICATE OF AMENDMENT

                                       OF

                          CERTIFICATE OF INCORPORATION

                                       OF

                            Lake Mead Hospital, Inc.

      Lake Mead Hospital, Inc., a corporation organized and existing under and
by virtue of the General Corporation Law of the State of Delaware (hereinafter
called the "Corporation"),

      DOES HEREBY CERTIFY:

      FIRST: That the Board of Directors of Lake Mead Hospital, Inc., by the
unanimous written consent of its members, filed with the minutes of the board,
duly adopted resolutions setting forth a proposed amendment to the Certificate
of Incorporation of said corporation, declaring said amendment to be advisable
and calling a meeting of the stockholders of said corporation for consideration
thereof. The resolution setting forth the proposed amendment is as follows:

      RESOLVED, That the Certificate of Incorporation of this corporation be
      amended by changing the First Article thereof so that, as amended said
      Article shall be and read as follows:

      "The name of the corporation is North Vista Hospital, Inc."

      SECOND: That thereafter, pursuant to resolution of its Board of Directors,
a special meeting of the stockholders of said corporation was duly called and
held upon written waiver of notice signed by all stockholders at which meeting
the necessary number of shares as required by statute were voted in favor of
the amendment.

      THIRD: That said amendment was duly adopted in accordance with the
provisions of Section 242 of the General Corporation Law of the State of
Delaware.

      FOURTH: That this Certificate of Amendment of the Certificate of
Incorporation shall be effective upon the earlier of filing with the Secretary
of State of Delaware or June 4, 2004.




       State of Delaware
      Secretary of State
   Division of Corporations
 Delivered 02:45 PM 06/04/2004
  FILED 02:45 PM 06/04/2004
 SRV 040416618 - 3731784 FILE


      IN WITNESS WHEREOF, said Lake Mead Hospital, Inc. has caused this
certificate to be signed by Frank A. Coyle, its Secretary, this 3rd day of June,
2004.

                                       /s/ Frank A. Coyle
                                       -----------------------------------------
                                       By: Frank A. Coyle, Secretary