| NPI | 1225736101 |
|---|---|
| Doing Business As | ICARUS BEHAVIORAL HEALTH NEVADA |
| Entity Type | Organization |
| Authorized Contact | PAUL COVELLI Owner 719-651-7584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2024-05-08 |