| NPI | 1023885118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA JANELL TORRES Billing Manager 775-882-3945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-08 |