| NPI | 1194340471 |
|---|---|
| Doing Business As | TRAC-B XCHANGE |
| Entity Type | Organization |
| Authorized Contact | CHELSI CHEATOM Program Manager 702-840-6693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |