| NPI | 1275215840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TAYLOR CFO 702-202-2998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 253J00000X Foster Care Agency | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |