NPI | 1720575251 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUIE NOVELO TANDIONO-CELLONA Owner 702-882-4975 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
261QD1600X Clinic/Center, Developmental Disabilities | |
Enumeration Date | 2018-04-19 |
Last Update Date | 2019-06-13 |