| NPI | 1750103420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLI MANLEY Owner 702-718-7353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2026-05-18 |