| NPI | 1467954230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDRECKA WOLRIDGE Owner 702-587-1798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |