| NPI | 1003233545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER L KOMAREK Owner 775-400-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20141195652) |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2014-06-02 |