NPI | 1932575156 |
---|---|
Doing Business As | NEVADA TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | FESTUS EBONKA EBONKA Program Director 702-515-9680 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NV 8352ntc-0) |
Enumeration Date | 2015-08-12 |
Last Update Date | 2015-08-12 |