| NPI | 1346480761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDY PARKS Executive Director 702-289-0157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |