| NPI | 1932960374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENDY SYSOMBOUN CFO 702-723-6390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |