NPI | 1407622525 |
---|---|
Entity Type | Organization |
Authorized Contact | KATRO MICHELLE HENDERSON Administrator 702-358-7754 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2023-11-29 |
Last Update Date | 2023-11-29 |