| NPI | 1881882421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ICIA REID SANDULAK Director 702-369-0396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |