| NPI | 1881393742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEKISHA HAYES Owner 702-303-9269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 225600000X Dance Therapist | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QC1500X Clinic/Center Community Health | |
| 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |