| NPI | 1164825022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ST JEAN Manager 702-235-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NV 5954AGC-10) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-11-25 |