| NPI | 1003366097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZARANESHIA KIRKSON Program Director 702-612-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |