| NPI | 1588377535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN LAMONT COBB Owner 702-628-1850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-01-04 |