| NPI | 1740927763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAVIER FORD CEO 702-918-4687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-20 |