| NPI | 1336574037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRIAN IVERSON CEO 702-279-1298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2016-06-08 |