| NPI | 1134794423 |
|---|---|
| Former Legal Business Name | VEGAS TREATMENT CENTEER |
| Entity Type | Organization |
| Authorized Contact | MARIAM M NIKOGOSYAN Program Director 702-463-7719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2024-02-06 |