| NPI | 1639423064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA M FINLEY-SMITH Cna 702-649-6791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NV 530787923) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |