| NPI | 1083254106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDIE LINCOLN Owner 775-450-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-21 |