| NPI | 1558942961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIA WESLEY Owner 702-236-7802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |