| NPI | 1285324954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET M FALCONS Administrator 702-626-7435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261Q00000X Clinic/Center | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |