| NPI | 1255560314 |
|---|---|
| Doing Business As | THE TEEN SPOT |
| Entity Type | Organization |
| Authorized Contact | SHETONYA FORDHAM Owner/President 702-574-1857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |