| NPI | 1851574305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN ORTBALS CFO 702-385-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: NV N35000041112243) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 251B00000X Case Management | |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2023-05-17 |