| NPI | 1699584649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILEY Director 702-305-0652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-01-04 |
| Last Update Date | 2025-01-04 |