| NPI | 1063827749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE HATCH Executive Director 775-725-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2014-06-21 |