| NPI | 1760959522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELLA MARIANO Manager/Owner 702-454-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |