| NPI | 1750634382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADE ROBINSON Director 702-219-4749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 19974) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |