| NPI | 1871734772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANITSHA K. BRIDGERS Clinical Administrator 702-556-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |