| NPI | 1790267912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD ETIENNE Chief Financial Offier 702-771-0304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 405300000X Prevention Professional | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2019-01-15 |