| NPI | 1104195353 |
|---|---|
| Doing Business As | DESERT VISIONS YOUTH WELLNESS CENTE |
| Entity Type | Organization |
| Authorized Contact | HOLLY ELLIOTT Chief Executive Officer 888-431-4096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |