| NPI | 1417469826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN BROOKS Owner/CEO 702-910-5773 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |