| NPI | 1730521030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA MARIA BALDWIN Behavioral Specialist 702-557-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2013-07-27 |
| Last Update Date | 2013-07-27 |