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 |