| NPI | 1215081880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY LYNN SHAW Program Director 775-378-7561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |