| NPI | 1265970115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MORSS Vice President 702-385-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 251B00000X Case Management | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |