| NPI | 1891220786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE COLES Manager 702-504-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2019-10-15 |