| NPI | 1699200808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES MALINIS Compliance Director 702-410-7825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2019-03-06 |