| NPI | 1942051958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMINE MATINYAN Owner 702-550-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |