| NPI | 1194861013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENTON CHARLES KING Owner 775-677-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NV GF-465264) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-11-14 |