| NPI | 1902137664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DEVON LEWELLYN Authorized Administrator 702-807-9392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-06-30 |