| NPI | 1932784758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD POSSON Director 702-684-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |