| NPI | 1356858583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY PAGE Owner 702-340-4813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |