| NPI | 1619462785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA HOLDER Manager 702-592-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |