| NPI | 1215315601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANICE MOORE Director/Owner 775-354-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |