| NPI | 1811475056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSON MARTINEZ Cco 702-846-7941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2025-03-26 |