| 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) |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2024-06-17 |