| NPI | 1841825346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER SUAREZ Owner 702-328-4634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-12-28 |