| NPI | 1053590240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENCIA L. JENKINS Manager 775-738-7798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NV GF880321176-99) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |