| NPI | 1023572658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LAAWSON Owner 702-203-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2020-06-02 |