| NPI | 1790136802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH SHARI RAMOS Administration 702-856-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NV 5893) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |