| NPI | 1568085140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEY L THOMAS CEO 702-637-7335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-28 |