| NPI | 1215305818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIELL OLIVIA DIX CEO 775-357-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NV nv20151522395) |
| Enumeration Date | 2015-09-13 |
| Last Update Date | 2015-09-13 |