| NPI | 1841775129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE DANIELS Owner 702-490-7731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |