NPI | 1942508304 |
---|---|
Entity Type | Organization |
Authorized Contact | ROY DE GUZMAN Administrator 702-722-6408 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Enumeration Date | 2011-03-09 |
Last Update Date | 2022-07-21 |