| NPI | 1154956167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIERA A HALL Owner 702-470-7664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-12 |