| NPI | 1154715712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHIAS CONE CEO 775-770-0403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 603487501) |
| Enumeration Date | 2015-03-22 |
| Last Update Date | 2015-03-22 |