| NPI | 1215563424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M ROGERS Owner, Licensed Therapist 702-324-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 251S00000X | |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |