| NPI | 1134571250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MILTON PEDDY CEO 702-673-7116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TN 1000000018684) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |