| NPI | 1669819934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN A JENKINS COO 702-385-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2024-05-20 |