| NPI | 1407483456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE ENGLE CEO 702-460-9415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |