| NPI | 1861971210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL BOYLE Managing Partner 702-823-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |