| NPI | 1427645779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET FALCONS Manager 702-626-7435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |