| NPI | 1780879635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI BROOKS Program Director 702-275-5214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |