| NPI | 1336598333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BENGUCHE Owner 702-664-0463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NV 1603490224) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |