| NPI | 1003353392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON ZENS Owner 775-751-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171046442) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-03-10 |