| NPI | 1700223088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN A JENKINS COO 702-385-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2024-05-20 |