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 |