| NPI | 1720610637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE SCHUH Manager 702-330-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2020-02-08 |