| NPI | 1245676410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNETTE ROQUE Substance Abuse Counselor 702-258-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: NV NV19841011323) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |