NPI | 1205294782 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID BRIGGS Owner 775-720-4975 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 5809-C) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NV 160-LC) |
Enumeration Date | 2016-01-29 |
Last Update Date | 2016-01-29 |