| NPI | 1104110840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN VAILLANCOURT Physical Therapist 775-782-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NV NV20101224552) |
| Enumeration Date | 2011-05-28 |
| Last Update Date | 2011-05-28 |