| NPI | 1669032546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIE NOVELO CELLONA CEO 702-476-0262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2023-02-07 |