| NPI | 1265884092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD WILLIAM CUNNINGHAM Bst Worker 775-336-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |