| NPI | 1457995813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNA DEAN Owner 702-937-7789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2025-06-11 |