| NPI | 1871100776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE CULVER Owner / Auth Official 702-221-1938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |