| NPI | 1134525587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN BRENDON Executive Director 702-467-1377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NV NV20141663904) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NV NV20141663904) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2018-06-20 |