| NPI | 1598204604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIELL DIX Owber 702-247-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NV NV20151522395) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |