NPI | 1932976420 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN L. CRUEY President 702-419-0595 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 251S00000X |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2023-12-05 |
Last Update Date | 2023-12-05 |