| NPI | 1649465931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES F. MILLER Director 702-656-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NV GF-125401719-0001) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |