| NPI | 1902308638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA KENT Owner 702-401-5398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |