| NPI | 1033978754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CASTILLO Owner 775-742-9907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |