| NPI | 1780338681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE JONES Owner 702-354-2269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251K00000X Public Health or Welfare | |
| 261QP0905X Clinic/Center Public Health, State or Local | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 347C00000X Private Vehicle | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |