| NPI | 1518393032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR C SUTTON Manager/CEO/Owner 702-302-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NV P50-03194-3-166019) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |