| NPI | 1255880191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE GATSKI Administrator 702-868-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2018-01-26 |