| NPI | 1225467103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOSHA LYNNORE CAMPBELL Director/Owner 702-822-1206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-12 |