| NPI | 1790253060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER STARGEL Director Of Utilization Review 702-382-7746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2025-04-21 |