| NPI | 1306451711 |
|---|---|
| Former Legal Business Name | CREST HEALTHCARE INC. |
| Entity Type | Organization |
| Authorized Contact | HEYWARD JACKSON Director 702-589-3095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker Clinical | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2021-03-05 |