| 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 |