| NPI | 1083198113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN SUTTON RANGEL Managing Member 775-525-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2019-04-10 |