| NPI | 1285352419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THI HOANG Business Office Manager 702-205-8232 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |