| NPI | 1265826606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMEILLE FUNCHES CEO 702-778-8922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-07-10 |