| NPI | 1649402520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHAWN LEVY Medical Director 702-873-7800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2017-07-13 |