| NPI | 1033800982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VREGH AMIRIAN Owner/Operator 702-706-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-05-19 |