| NPI | 1639616758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOMER SIMS Organizer 702-350-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-30 |