| NPI | 1053048280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRISELDA LLOYD Owner 702-756-6518 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2024-08-19 |