| NPI | 1043679459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MORSS Vice President 702-385-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |