| NPI | 1528673548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE FAIRLEY Owner 702-350-4945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |