| NPI | 1013616317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY RUKINZO Owner 702-523-6284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-03-12 |