| NPI | 1184922916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WADE SKIPPER Basic Skills Trainer 775-378-6722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NV GF125403151) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |