| NPI | 1033748009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FAIRLEY Owner 702-665-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |