| NPI | 1043377708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND CHARLES GANT Residential Coordinator 702-294-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NV C3701994) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |