| NPI | 1205669249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY BUMPERS CEO 702-283-6178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |