| NPI | 1265319610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA MARIE P DIZON ARROYO Director 702-324-9754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-24 |