NPI: 1467954230 · N LAS VEGAS, NV 89032 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 03/07/2018
| Authorized Official | WOLRIDGE, EDRECKA (OWNER) |
| NPI Enumeration Date | 03/07/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $318.78 |
| 2019 | 186 | $10K |