| NPI | 1073978151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ZELLER Medical Director 775-499-5534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: NV 8312NTC-0) |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2024-06-17 |