| NPI | 1891202016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YESICA QUILES Owner 702-635-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-08-24 |