| NPI | 1144108994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN HENRY O'DONNELL Executive Director 702-461-9649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-09-07 |