| NPI | 1689239287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMONTE EVANS Managing Member 702-660-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |