| NPI | 1538625744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER COMPLOT Administrator 702-325-5314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Additional Taxonomies | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |