| NPI | 1841904794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYZINE AYALA Managing Member 702-588-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |