| NPI | 1689010712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELIA FORTUNATO Manager 702-384-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NV 82AGC-19) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |