| NPI | 1154556934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ALISA DILAURO Owner 702-370-2172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-05-21 |