| NPI | 1245567486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN GRANT Owner 702-574-0653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2009-11-09 |