| NPI | 1457758849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE PORTER Owner 702-715-2670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |