| NPI | 1659261055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELA LEVINE Owner 702-660-5943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-08-20 |