| NPI | 1104253905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEWEL DEGUZMAN Owner 702-201-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NV eo4373920119) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |