| NPI | 1871306142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN GROSH President 702-505-3841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |