| NPI | 1164202966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WATKINS Administrator 702-470-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2024-05-02 |