| NPI | 1801227293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA V OTOO-DAVIS Director 702-453-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |