| NPI | 1225400831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE DAGEL Behavioral Health Clinician 702-228-8520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |