| NPI | 1760763783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY CLARK CEO 702-538-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NV 2001065320) |
| Enumeration Date | 2011-09-03 |
| Last Update Date | 2011-09-03 |