| NPI | 1366299000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THI HOANG Chief Revenue Officer 702-205-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2025-09-29 |