NPI | 1174360069 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY THOMAS President 702-935-9116 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2024-07-09 |
Last Update Date | 2024-07-09 |