| NPI | 1558883496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVELL J WORTHY Owner 702-673-7831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |