| NPI | 1134647134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA CONWAY Owner 702-416-5443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |