| NPI | 1265860399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D-ANA LYNN HERNANDEZ Qualified Behavioral Aid 702-445-1360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |