| NPI | 1205600467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGANHA CHEUNG Owner 702-222-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2025-01-16 |