| NPI | 1174064786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINITA SMITH Director 702-735-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 2583NTC-15) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2024-03-27 |