| NPI | 1467858464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN A JENKINS COO 702-385-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2024-05-20 |