NPI | 1053811612 |
---|---|
Entity Type | Organization |
Authorized Contact | JINEVA MCALISTER Owner 702-785-1918 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2018-02-20 |
Last Update Date | 2018-02-20 |