| NPI | 1306022025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN ORTBALS CFO 702-385-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NV N35000041112243) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2018-12-27 |