| NPI | 1093462285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICA HINES Owner 702-273-8542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-04-08 |