| NPI | 1336694694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE WILBANKS President 702-927-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2025-02-26 |