| NPI | 1487320198 |
|---|---|
| Doing Business As | THERE & BACK RECOVERY SERVICES |
| Entity Type | Organization |
| Authorized Contact | MALIEKA D TOSTON Executive Director 702-714-1739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2021-09-01 |