| NPI | 1841855319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE CROCK Administrator 702-858-4559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2020-04-21 |