| NPI | 1235630864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY MATUSZAK President 775-225-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2019-11-08 |