NPI | 1437601440 |
---|---|
Entity Type | Organization |
Authorized Contact | LATASHA CONWAY-HANKSTON Chief Executive Officer 702-846-2686 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NV NV20161605181) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2016-10-26 |
Last Update Date | 2018-03-12 |