| NPI | 1457760464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY HARRIS Medicial 702-487-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NV 856424616) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |