| NPI | 1932926763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY L. MARSHALL Director 702-217-5639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |