| NPI | 1033417175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE R LOUTZENHEISER Program Director/ Qmha 775-250-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-03-13 |
| Last Update Date | 2011-03-13 |