| NPI | 1306358080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFAN FLOWERS Owner 702-601-9375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |