| NPI | 1285158543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLA RANDOLPH-FRENCH Owner 702-534-8122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |