| NPI | 1568135309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNIQUE STOKES Executive Director 702-986-1343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2022-06-28 |