| NPI | 1629584503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELLA REESE-LOMAX Owner 702-348-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |