| NPI | 1720576523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WHEELER Owner 702-613-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251V00000X Voluntary or Charitable | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-06-13 |