| NPI | 1003507500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY GROSSA CFO 702-395-5011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-09-20 |