| NPI | 1932511698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRIAN IVERSON CEO 702-279-1298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NV 324500000X) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |