| NPI | 1215707849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHAWN BRYANT CEO/Owner 702-684-9206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-29 |