| NPI | 1407418601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH KAMARA Owner 702-372-4574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |