| NPI | 1689800013 |
|---|---|
| Former Legal Business Name | NEVADA SKIES YOUTH WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | HOLLY M ELLIOTT Chief Executive Officer 520-562-4205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: 275789) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: NV n/a) |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: NV n/a) | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2012-10-31 |