| NPI | 1356927354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE FRY Director 702-600-2896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-03-20 |
| Last Update Date | 2023-05-12 |