NPI | 1003368853 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA BISHOP Program Director 702-578-5720 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2016-10-27 |
Last Update Date | 2016-10-27 |