NPI | 1215717483 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL REYNOLDS Managing Member 702-917-3497 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-10-04 |
Last Update Date | 2023-10-04 |