| NPI | 1235624297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY SANDERS Manager 702-205-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2021-11-12 |