| NPI | 1871178574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BRADSHAW-RANSOM Director 702-884-0233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-03-15 |