| 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 |