| NPI | 1336606342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CLARK Managing Partner 702-991-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |