| NPI | 1205389129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FIRESTONE Executive Director 775-842-7436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NV 8312NTC-01) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2019-05-29 |