| NPI | 1366929614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEMUEL ALLEN Owner 702-713-2659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |