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 |