| NPI | 1740603026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS ALDEN DOSS Clinical Director 702-763-7443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV NV20141049685) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 251B00000X Case Management | |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2023-03-28 |