NPI | 1477187953 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTRANIQUE LOWE CEO 702-647-6433 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-02-24 |
Last Update Date | 2020-02-24 |