| NPI | 1164958419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE GATSKI Administrator 702-868-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |