| NPI | 1285191981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIERA HALL Owner/Manager 702-470-8763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-03-04 |