| NPI | 1184281750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEESHA MCCOWAN Owner 702-823-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |