NPI | 1053879247 |
---|---|
Doing Business As | AA TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | EDWARD GAMBOA CEO 702-776-2482 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness |
104100000X Social Worker | |
225C00000X Rehabilitation Counselor | |
251S00000X | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
261QR0800X Clinic/Center, Recovery Care | |
Enumeration Date | 2019-03-06 |
Last Update Date | 2019-03-28 |