| NPI | 1396217626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY SANDERS Manager 702-205-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2021-11-12 |