| NPI | 1053491977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE PAYNE CEO 702-382-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NV 2567NTC-13) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: NV rce004-457) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-04-17 |